摘要
目的探索上海市老年人群对预设医疗指示的态度与观点。方法经目的抽样在上海市抽取15名有生活经验及乐意分享观点的老人,使用面对面半结构式访谈收集资料,采用内容分析法进行资料分析。结果共析出5个主题:老年人对预设医疗指示知晓度低但接受度高,追求自然安详的老年生活,对医疗自主权的态度模棱两可,很难理性对待父母临终及死亡问题,对在中国推行预设医疗指示持积极态度。结论在老年人群中推行预设医疗指示具有可能性及可行性。符合中国文化的死亡教育及患者自主权是推行预设医疗指示的基础,让老年人充分认识和了解该理念是前提。应考虑多渠道持续介绍和解释该理念,并充分解析老年人对该理念的理解、接受程度、困惑和担心。
Objective This study aimed to explore the perception on advanced directives(ADs)among older adults in Shanghai.Methods Through purposive sampling,15 older adults with rich life experiences who were willing to share perceptions and experiences of ADs participated in this study.Face-to-face semi-structured interviews were conducted to collect the qualitative data.Thematic content analysis was applied to analyze the data.Results Five themes have been identified:low awareness but high acceptance of ADs;pursuing natural and peaceful sunset life;ambiguous attitude on medical autonomy;being irrational facing patients’dying and death issues;positive about implementing ADs in China.Conclusion It is possible and feasible to implement ADs in older adults.Death education and compromised medical autonomy may be needed in the Chinese context as the foundation.The elder’s understanding,willingness and worries about ADs should be fully revealed.Diverse approaches should be applied to introduce and interpret ADs to older adults continuously.
作者
张蓉蓉
徐燕
赵月萍
Rong-Rong Zhang;Yan Xu;Yue-Ping Zhao(Department of Nursing,Faculty of International Medical Technology,Sanda University,Shanghai,China)
基金
This research was funded by the 2020 Research Project of Sanda University.
